TRAVEL EXPENSES

Name [Name] Department [Department]

Email [Email] Approved by [Approved by]
Employee ID [Employee ID] Purpose [Purpose]

TRIP HOURS
Dates Hours How spent
[Date] [Hours] [How spent]
[Date] [Hours] [How spent]
[Date] [Hours] [How spent]
[Date] [Hours] [How spent]

EXPENSES
Category Dates Details Amount
[Transportation] [Date] [Air | Parking | Rental car | Taxi | Other | Item not listed] [Amount]
[Date] [Air | Parking | Rental car | Taxi | Other | Item not listed] [Amount]
[Date] [Air | Parking | Rental car | Taxi | Other | Item not listed] [Amount]
[Date] [Air | Parking | Rental car | Taxi | Other | Item not listed] [Amount]
[Own car] [Date] [Mileage] [Mileage] [Amount]
[Lodging] [Date] Location [Location] [Amount]
[Date] Location [Location] [Amount]
[Dates] [Date] Location [Location] [Amount]
[Date] Location [Location] [Amount]
[Meals] [Date] (Not to exceed $50/day) [Amount]
[Date] (Not to exceed $50/day) [Amount]
[Date] (Not to exceed $50/day) [Amount]
[Date] (Not to exceed $50/day) [Amount]
[Conference fees] [Date] Purpose [Purpose] [Amount]
[Date] Purpose [Purpose] [Amount]
[Other] [Date] Purpose [Purpose] [Amount]
[Date] Purpose [Purpose] [Amount]
[Date] Purpose [Purpose] [Amount]
[Date] Purpose [Purpose] [Amount]
Subtotal [Amount]
Less amount paid by company [Amount]
Total amount owing to employee [Amount]

[Signature] [Date]